Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.71 / $3,730.75 / $16,467.00	Facility		$1,652.71	$3,730.75	$16,467.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,379.33 / $1,817.98 / $3,082.32	Facility		$1,379.33	$1,817.98	$3,082.32
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $348.20 / $359.94 / $506.32	Facility	80	$348.20	$359.94	$506.32
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $219.19 / $249.90 / $354.42	Facility	AS	$219.19	$249.90	$354.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $6,074.00 / $8,973.00	Facility		$2,284.00	$6,074.00	$8,973.00